Jacques Gregoire Derival, RPH

NPI #1073296737 in Gainesville, Florida

Provider Information

NPI Number
1073296737
Entity Type
Individual
Name
Jacques Gregoire Derival, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Aug 9, 2023
Last Updated
Jan 21, 2024

Practice Location

Address
2815 NW 13TH ST STE 204
State
Florida
ZIP Code
32609-2879
Phone
(352) 204-5643

Specialties & Taxonomy Codes

Specialty
Pharmacist

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